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Faculty of Medicine
Document Details
Document Type
:
Article In Journal
Document Title
:
Outcome of reintubated patients after scheduled extubation
Outcome of reintubated patients after scheduled extubation
Subject
:
Critical care
Document Language
:
English
Abstract
:
PURPOSE: The main objective of study was to evaluate the outcome of patients who require reintubation after elective extubation. MATERIALS AND METHODS: This is an observational, prospective cohort study including mechanically ventilated patients who passed successfully a spontaneous breathing trial. Patients were observed for 48 hours after extubation. During this time, reintubation or use of noninvasive positive pressure ventilation was considered as a failure. Reintubated patients were followed after the reintubation to register complications and outcome. RESULTS: A total of 1,152 extubated patients were included in the analysis. Three hundred thirty-six patients (29%) met the criteria for extubation failure. Extubation failure was independently associated with mortality (odds ratio, 3.29; 95% confidence interval, 2.19-4.93). One hundred eighty patients (16% of overall cohort) required reintubation within 48 hours after extubation. Median time from extubation to reintubation was 13 hours (interquartile range, 6-24 hours). Reintubation was independently associated with mortality (odds ratio, 5.18; 95% confidence interval, 3.38-7.94; P < .001). Higher mortality of reintubated patients was due to the development of complications after the reintubation. CONCLUSIONS: In a large cohort of scheduled extubated patients, one third of patients developed extubation failure, of whom half needed reintubation. Reintubation was associated with increased mortality due to the development of new complications after reintubation
ISSN
:
1557-8615
Journal Name
:
Journal of Critical Care
Volume
:
1
Issue Number
:
1
Publishing Year
:
1432 AH
2011 AD
Article Type
:
Article
Added Date
:
Monday, July 11, 2011
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
جمال الهاشمي
Al-Hashemi, Jamal
Researcher
Doctorate
Files
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Description
29946.pdf
pdf
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